
<form id="form1" method="post" style="margin:10px;">
	<!--input type="hidden" name="ID" id="ID" value="<?=$ID?>"-->
	
	<div class="fitem" >
		<label style="width:100px">Kode </label>:
		<input name="ID_WILAYAH" size="10" value="<?=$ID_WILAYAH?>">
		<input name="ID_WIL" size="10" value="<?=$ID_WILAYAH?>" hidden>
	</div>
	<div class="fitem" >
		<label style="width:100px">Wilayah </label>:
		<input name="WILAYAH" size="30" value="<?=$WILAYAH?>">
	</div>
	<div class="fitem" >
		<label style="width:100px">Level</label>:
		<select id="WLEVEL" name="WLEVEL" style="width:200px;">
		<?=$this->prosedur_model->OptionWLevel(array('value'=>$WLEVEL));?>
		</select>
	</div>

	<div class="fitem">
		<label style="width:100px;vertical-align:top;">Keterangan </label>
		<textarea name="REMARK" id="REMARK" cols="25" rows="3"><?=$REMARK?></textarea>
	</div>
	
</form>
	

